Active NPI
Dara Pitts, PA-C
- Physician Assistant
- Parker, CO
National Provider Identifier
1508374018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0005251
- Practice address
- 9399 Crown Crest Blvd
Parker, CO 80138-8506 - Phone
- (720) 279-9098
- NPI assigned
- Jan 18, 2018
- Last updated
- Jan 28, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0005251 | CO | Primary |
Addresses
Primary practice location
9399 Crown Crest Blvd
Parker, CO 80138-8506
Mailing address
4895 Riverbend Rd
Boulder, CO 80301-2640
Phone (720) 279-9098
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1630 Dry Creek Dr
Longmont, CO 80503-6422
Phone (720) 279-9098
1630 Dry Creek Dr
Suite 200
Longmont, CO 80503-6405
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0005251 | CO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creekside Physical Medicine PLLC | Past | Accepting new patients |
Interoperability endpoints
- dara.pitts.1@31554.direct.athenahealth.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Sleep Medicine (Psychiatry & Neurology) Physician
- Longmont, CO
- NPI 1982958435
-
- Neuromusculoskeletal Medicine & OMM Physician
- Boulder, CO
- NPI 1578601969
-
- Neuromusculoskeletal Medicine & OMM Physician
- Longmont, CO
- NPI 1972101202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580169600000",
"number": "1508374018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4895 RIVERBEND RD",
"city": "BOULDER",
"state": "CO",
"postal_code": "803012640",
"telephone_number": "720-279-9098",
"fax_number": "720-540-4250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9399 CROWN CREST BLVD",
"city": "PARKER",
"state": "CO",
"postal_code": "801388506",
"telephone_number": "720-279-9098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITTS",
"first_name": "DARA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-18",
"last_updated": "2020-01-28",
"certification_date": "2020-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "0005251",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Parker, CO
- Pinnacle Feeding & Speech Therapy
- Pinnacle Medical Partners LLC (Lone Tree Pediatrics)
- Skylar Rae Piper, M.S. CF-SLP
- Sarah Pistilli, M.S.,CCC-SLP
- Jillane K Pitcher, DO
- Maleice Pitts
- Michael Gabriel Plachta, MD
- Plaza Dental Parker GPS PLLC (Plaza Dental Parker)
- Plaza Dental Parker PLLC (Plaza Dental Parker)
- Julia Rose Plevnia, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.